America's Home Care Agencies: Leading the Way in Promoting Public Health

When Marie Desil, a home care nurse with my agency, Visiting Nurse Service of New York (VNSNY), recently took on the case of Doris*, an elderly woman with heart failure, she immediately set to work explaining to Doris and her family how to take her medications properly and manage her symptoms--advice that included limiting Doris' sodium and fluid intake and reporting any sudden weight gain. But Marie's nursing care didn't stop there. "After discussing with Doris and her family the importance of an annual flu shot, I got the okay from her doctor to administer the vaccine on my next visit," she says. "And I'll also be giving her a pneumonia vaccination." In addition, they discussed the importance of overall nutrition, good hygiene, and social interaction, including enrolling and securing transportation to a nearby senior center with help of a VNSNY social worker. "I explained that just sitting at home all day isn't good for her, because it can contribute to depression as well as physical and mental decline," notes Marie. If depression, anxiety or other behavioral health conditions appear to be affecting a patient, Marie also has the option of calling in one of our behavioral health nurses for an assessment and referral to additional care as needed. Similarly, if a patient has poorly controlled diabetes, she can make a referral to one of our diabetes nurse specialists. "I think of myself as a public health nurse," adds Marie, "becaus...
Source: Healthy Living - The Huffington Post - Category: Consumer Health News Source Type: news

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In conclusion, this review reported that IL-37 has a crucial role in reducing infection-associated inflammation and has a good impact on inflammation-induced pathology. However, tight regulation that achieved balance between effector immune responses that required for pathogen elimination and limited tissue damage that resulted from excessive inflammation should be existed in the potential IL-37 therapy to prevent clinical complications of a disease. PMID: 31633447 [PubMed - as supplied by publisher]
Source: International Reviews of Immunology - Category: Allergy & Immunology Tags: Int Rev Immunol Source Type: research
Date: Monday, 10 28, 2019; Speaker: Xiangbo Ruan, Regulation of systemic lipid metabolism by human lncRNAs, The Cao group, CB, NHLBI; Ranganath Muniyappa, Hyperuricemia in insulin resistance, DEOB, NIDDK; Building: Building 10 (Clinical Center); Solarium Conference Room 9S233 (old Bunim Room)
Source: NIH Calendar of Events - Category: American Health Source Type: events
Low English proficiency puts patients with chronic conditions such as heart failure and COPD at much higher risk for returning to the hospital, new data show.Medscape Medical News
Source: Medscape Allergy Headlines - Category: Allergy & Immunology Tags: Hospital Medicine News Source Type: news
ConclusionRRA must be initiated within 58 days after surgery in patients with high-risk DTCs. Under this approach, risk of SIR and associated mortality risk may be reduced. RRA timing for women in reproductive ages with low/intermediate risk groups may be planned according to their pregnancy/breastfeeding intent. For other low/intermediate risk groups, they can safely proceed according to the capacity of the medical facility and related logistical considerations.ResumenIntroducciónEs difícil adoptar un enfoque científico basado en la evidencia con respecto al intervalo de aplicación de la ablaci...
Source: Revista Espanola de Medicina Nuclear e Imagen Molecular - Category: Nuclear Medicine Source Type: research
This article highlights the role of nuclear medicine in standardizing the diagnostic approach in patients with infectious/inflammatory diseases, in particular in peripheral osteomyelitis, septic arthritis, prosthetic joint infections, infected diabetic foot and spinal infections. The authors reveal the role of the most common radionuclides tests, with their advantages and clinical indications, to achieve an adequate diagnosis of infection and inflammation.ResumenLas enfermedades inflamatorias e infecciosas osteoarticulares pueden tener graves consecuencias para el paciente si no se diagnostican a tiempo. En las últi...
Source: Revista Espanola de Medicina Nuclear e Imagen Molecular - Category: Nuclear Medicine Source Type: research
ConclusionsSerum activins and follistatin were significantly altered with EP and activin-AB could be a promising marker for the diagnosis of EP.
Source: Clinica Chimica Acta - Category: Laboratory Medicine Source Type: research
Publication date: Available online 21 October 2019Source: Biochimica et Biophysica Acta (BBA) - Molecular and Cell Biology of LipidsAuthor(s): Xinxu Yuan, Owais M. Bhat, Hannah Lohner, Yang Zhang, Pin-Lan LiAbstractExosomes have been demonstrated to be one of the mechanisms mediating the release of intracellular signaling molecules to conduct cell-to-cell communication. However, it remains unknown whether and how exosomes mediate the release of NOD-like receptor pyrin domain 3 (NLRP3) inflammasome products such as interleukin-1 beta (IL-1β) from endothelial cells. The present study hypothesized that lysosomal acid cer...
Source: Biochimica et Biophysica Acta (BBA) Molecular and Cell Biology of Lipids - Category: Lipidology Source Type: research
This study tested the specificity of associations between childhood multi-trajectories of shyness, anxiety and depression symptoms and adolescent social phobia, generalized anxiety disorder (GAD) and depression, as well as functional impairment. A population sample of 1596 singletons was followed over 15 years. Mothers rated child shyness, anxiety and depression between 1½ and 8 years-old. Adolescents self-reported symptoms of social phobia, GAD and depression at 15 years-old. Multi-trajectories of childhood internalizing symptoms showed developmental heterogeneity. Controlling for perinatal risk factors, low ...
Source: Journal of Applied Developmental Psychology - Category: Child Development Source Type: research
Publication date: Available online 21 October 2019Source: Innovative Food Science &Emerging TechnologiesAuthor(s): Laura Milner, Joseph P. Kerry, Maurice G. O'Sullivan, Eimear GallagherAbstractHigh levels of sucrose in foods present a great risk of obesity and type 2 diabetes. Therefore a low sucrose intake is strongly recommended. Sweet baked products incorporate high levels of sucrose. Sucrose in the original cake formulation was reduced and replaced with apple pomace, whey permeate, oligofructose, polydextrose. An acceptable sucrose reduction of between 21 and 27% was achieved. Cakes containing apple pomace had the ...
Source: Innovative Food Science and Emerging Technologies - Category: Food Science Source Type: research
Authors: Vega R, Jackson GL, Henderson B, Clancy C, McPhail J, Cutrona SL, Damschroder LJ, Bhatnagar S Abstract The time it takes for clinical innovation and evidence-based practices to reach patients remains a major challenge for the health care sector. In 2015, the Veterans Health Administration (VHA) launched the Diffusion of Excellence Initiative aimed at aligning organizational resources with early-stage to midstage promising practices and innovations to replicate, scale, and eventually spread those with greatest potential for impact and positive outcomes. Using a 5-step systematic approach refined over time, ...
Source: The Permanente journal - Category: General Medicine Tags: Perm J Source Type: research
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